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General NPI Number Information
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NPI Number | 1679469068
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Entity Type | Organization
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Legal Business Name | CULTIVATING CLARITY WITHIN
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 4405 E WEST HWY STE 602
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City | BETHESDA
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State | MD
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Zip | 20814-4537
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Country | US
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Telephone | 301-750-8295
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Fax |
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Provider Business Mailing Address
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Address Line | 4604 SAUL RD
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City | KENSINGTON
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State | MD
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Zip | 20895-4221
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Country | US
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Telephone | 202-247-5564
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. ALEXIS DE LA ROSA
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Credential | MC, LGPC, NCC
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Telephone | 202-247-5564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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